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与美国大流行头 2 年期间 COVID-19 死亡相关的生命年损失。

Years of life lost associated with COVID-19 deaths in the USA during the first 2 years of the pandemic.

机构信息

University of South Florida, College of Public Health, Tampa, FL 33612, USA.

University of South Florida, College of Behavioral and Community Sciences, School of Aging Studies, Tampa, FL 33620, USA.

出版信息

J Public Health (Oxf). 2022 Aug 25;44(3):e353-e358. doi: 10.1093/pubmed/fdac057.

Abstract

BACKGROUND

Prior estimates of the years of life lost (YLLs) in the USA associated with coronavirus disease 2019 (COVID-19) were 1.2 million through 11 July 2020 and 3.9 million through 31 January 2021 (which roughly coincides with the first full year of the pandemic). The aim of this study is to update YLL estimates through the first 2 years of the pandemic.

METHODS

We employed data regarding COVID-19 deaths through 5 February 2022 by jurisdiction, gender and age group. We used actuarial life expectancy tables by gender and age to estimate YLLs.

RESULTS

We estimated roughly 9.7 million YLLs due to COVID-19 deaths. The number of YLLs per 10 000 capita was 297.5, with the highest rate in Mississippi (482.7) and the lowest in Vermont (61.4). There was substantial interstate variation in the timing of YLLs and differences in YLLs by gender. YLLs per death increased from 9.2 in the first year of the pandemic to 10.8 through the first 2 years.

CONCLUSIONS

Our findings improve our understanding of how the mortality effects of COVID-19 have evolved. This insight can be valuable to public health officials as the disease moves to an endemic phase.

摘要

背景

截至 2020 年 7 月 11 日,美国因 2019 年冠状病毒病(COVID-19)导致的生命损失年数(YLLs)估计为 120 万,截至 2021 年 1 月 31 日(大致与大流行的第一个整年相吻合)为 390 万。本研究旨在更新大流行前 2 年的 YLL 估计值。

方法

我们使用了截至 2022 年 2 月 5 日按管辖范围、性别和年龄组划分的 COVID-19 死亡数据。我们使用按性别和年龄划分的精算预期寿命表来估计 YLLs。

结果

我们估计 COVID-19 死亡导致的 YLLs 约为 970 万。每 10 000 人中有 297.5 人 YLLs,密西西比州(482.7)最高,佛蒙特州(61.4)最低。YLLs 的出现时间在各州之间存在很大差异,性别之间的 YLLs 也存在差异。每例死亡的 YLLs 从大流行的第一年的 9.2 增加到前 2 年的 10.8。

结论

我们的研究结果增进了对 COVID-19 死亡率演变的认识。随着疾病进入地方性阶段,这些见解对公共卫生官员非常有价值。

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